| NPI | 1902300528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD H0097737) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207L00000X Anesthesiology (Licence: VA 0102205826) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2026-03-23 |